Active NPI
Omolade Ogungbade, FNP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1058692
- Practice address
- 10058A Long Point Rd
Houston, TX 77055-4002 - Phone
- (832) 380-3980
- Fax
- (832) 380-3985
- NPI assigned
- Dec 18, 2021
- Last updated
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1058692 | TX | Primary |
Addresses
Primary practice location
10058A Long Point Rd
Houston, TX 77055-4002
Mailing address
4031 FM 1463 Rd Ste 40-244
Katy, TX 77494-5963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Current | Accepting new patients | |
| Sprinter Medical West PC | Current | Accepting new patients | |
| Topcare Medical PA | Past | Accepting new patients |
Locations
12377 Merit Dr
Ste 300
Dallas, TX 75251
229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478
410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890
10058A Long Point Rd
Houston, TX 77055
Phone (832) 380-3980
1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216
1100 NW Loop 410
Ste 700
San Antonio, TX 78213
Phone (210) 241-4954
Interoperability endpoints
- omolade.ogungbade@746395612545028.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1447910427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 FM 1463 RD STE 40-244",
"city": "KATY",
"state": "TX",
"postal_code": "774945963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10058A LONG POINT RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770554002",
"telephone_number": "832-380-3980",
"fax_number": "832-380-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNGBADE",
"first_name": "OMOLADE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-18",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1058692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.